| NPI | 1730007188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2185979) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO MSPTA.0000011) |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |